# CHARLES S. MCCLUNG SR., DO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** McClung Health and Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497944607
- **Authorized official:** DR. CHARLES SCOTT MCCLUNG SR. D.O. (OWNER/PHYSICIAN)
- **Authorized official phone:** (304) 647-9971

## Contact information

- **Practice address:** 226 SKYLAR DR, LEWISBURG, WV 24901-9383
- **Practice address phone:** (304) 647-9971
- **Practice address fax:** (304) 647-9973
- **Mailing address:** PO BOX 1849, LEWISBURG, WV 24901-4849
- **Mailing address phone:** (304) 647-9971
- **Mailing address fax:** (304) 647-9973

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 1484 | WV | Yes |

## Other

- **Enumeration date:** 10/24/2007
- **Last updated:** 08/11/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5630417000 | — | WV |